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2023 Medicare Final Rules Update

The Center for Medicare & Medicaid Services (CMS) has published the final rules for the 2023 Part B Physician Fee Schedule and Medicare Shared Savings Program, the Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center (ASC) Payment System, the End-Stage Renal Disease (ESRD) Prospective Payment System, and the Home Health Prospective Payment System.

The Physician Fee Schedule Final Rule includes a reduction in the base conversion payment factor of 4.5 percent due to several legislative requirements, including a budget neutrality adjustment and the expiration of a 3-percent supplemental increase in 2022. The rule adopted most of the American Medical Association (AMA) CPT® changes for “other E&M visits,” effective Jan. 1, 2023. These reflect coding and documentation decisions by the AMA.

You can read the article in full regarding the 2023 Final Rules at ICD 10 Monitor 2023 Final Rules Update. 

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